Oncology & Hematology Coding Alert

Reader Question:

Aspiration, Biopsy on the Same Day

Question: How do you code and bill for bone marrow aspiration (85095) and bone marrow biopsy (85102) on the same day?

Anonymous NH Subscriber

Answer: All of our bone marrow aspirations are done in the hospital outpatient setting and we bill the bone marrow aspiration (85095) with the modifier -59, to distinguish it as separate from the bone marrow biopsy (85102). We also bill a bone marrow tray (A4550) for each aspiration and we are reimbursed by Medicare for all three codes. It shouldnt be a problem if its coded correctly.